Project EXPORT - A Center of Excellence (PEACE)

描述（由申请人提供）：100多年前，W.E.B.杜波依斯（W.E.B. Dubois）写了《费城黑人》（The Philadelphia Negro），这本书详细介绍了非洲裔美国人社区的第一批社会科学研究之一——他们的集体历史和个人家庭；他们的健康、教育、职业、经济和政治地位；他们的教堂和生意；他们的个人习惯、偏见和生活条件——揭示了研究作为纠正社会不公正和影响社会变革的手段的潜力。今天，所谓的“健康差距”问题不仅困扰着非裔美国人，也困扰着其他有色人种和医疗服务不足的人，社会正在努力改善少数民族的困境，同时保持“文化能力”和“敏感”。我们认为，20世纪的科学方法，特别是那些涉及服务不足社区的方法，在21世纪将不起作用。我们需要一种更全面的方法，不仅包括科学发现，还包括科学发现与现实世界的应用和社区服务相结合。少数族裔健康研究中心（CRMH）是第一个由国会授权的联邦政府以外的少数族裔健康和健康差异研究中心，Prairie View a&m University （PVAMU）及其护理学院通过Project EXPORT建立了一个成功的方法，弥合了科学与社区之间的差距。在“出口项目”（现称为“出口项目-卓越中心”）的更新过程中，我们将继续采用同样的整体方法解决健康差距问题，在我们的教育和推广计划的基础上，加强和扩大我们的研究工作，以便：(a)将EXPORT项目正在进行的少数民族健康和健康差异方面的工作整合和集中到CRMH中，作为一个卓越的研究中心，同时在研究培训、社区参与和外展方面制定新的方案（所有核心）；(b)维持和发展设计为“生物-心理-社会”的研究方案，认识到生物、环境、行为和社会因素在多种社会背景和多个社会层次上独立或依赖地起作用，决定健康结果（研究和社区关系核心）；(c)加强现有的研究培训活动，使来自少数群体和服务不足人口的研究人员能够开展有价值的少数群体健康和健康差异研究；（研究、教育与培训核心）；(d)在当地和国外建立社区和机构伙伴关系，以改善少数民族和医疗服务不足者的健康（研究、社区关系和研究教育与培训核心）。我们将继续与癌症信息服务中心和m.d. Anderson公共教育办公室合作，向公众、卫生保健提供者和潜在的临床试验参与者介绍癌症治疗和预防试验，并将继续开展专业培训工作，以：(1)加强促进癌症健康差异研究的课程；(2)为少数民族学生寻求健康差异研究的职业提供经验；(3)与安德森生物统计与应用科学系合作开发PVAMU数据管理系统，培训Prairie View学生维护和更新系统，以用于未来的研究项目。这些只是这个应用程序的一些独特功能。我们打算有所作为。

DESCRIPTION (provided by applicant): Over 100 years ago W.E.B. Dubois wrote "The Philadelphia Negro," a book detailing one of the first social-scientific studies of a community of African Americans - their collective history and individual families; their health, educational, occupational, economic and political status; their churches and businesses; their personal habits, biases and living conditions - revealing the potential of research as a means to correct social injustice and effect societal change. Today, the issue of what is now termed "health disparities" continues to plague not only African Americans, but also other people of color and the medically underserved, and society struggles with ways to improve the plight of minorities while remaining "culturally competent" and "sensitive." It is our opinion that the scientific approaches of the twentieth century, especially those involving underserved communities, will not work in the twenty-first century. We need a more comprehensive approach that will involve not scientific discovery alone, but scientific discovery coupled with real-world applications and community service. The Center for Research on Minority Health (CRMH), the first Congressionally mandated center on minority health and health disparities outside of the federal government, and Prairie View A & M University (PVAMU) and its College of Nursing, established with Project EXPORT a successful approach to bridging the gap between science and community. In the renewal of Project EXPORT, now referred to as "Project EXPORT - A Center of Excellence" (PEACE), we will continue to address health disparities using the same holistic approach, building on our educational and outreach programs to enhance and expand our research efforts, so as to: (a) integrate and centralize ongoing minority health and health disparities efforts of Project EXPORT into the CRMH as a research center of excellence, while developing new programs in research training, community engagement, and outreach (All Cores); (b) maintain and develop research programs that are "biopsychosocial" in design, recognizing that biological, environmental, behavioral and social factors, acting independently or dependently across multiple social contexts and multiple social levels, determine health outcomes (Research & Community Relations Cores); (c) enhance existing research training activities that prepare researchers from minority and underserved populations to conduct meritorious minority health and health disparities research; (Research Education & Training Core); and (d) build upon community and institutional partnerships, both locally and abroad, that will effect improvements in the health of minorities and the medically underserved (Research, Community Relations, and Research Education & Training Cores). We will continue to work with Cancer Information Services and the M. D. Anderson Office of Public Education to inform the public, health care providers, and potential clinical trial participants about cancer treatment and prevention trials, and will move forward with professional training efforts to: (1) enhance a curriculum promoting research in cancer health disparities; (2) provide experience to minority students seeking careers in health disparities research; and (3) develop, with the M. D. Anderson Biostatistics & Applied Sciences Department, a data management system with PVAMU, training Prairie View students to maintain and update the system for future research projects. These are but a few of the unique features of this application. We intend to make a difference.